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When you’re bloated, your stomach or abdomen can feel full and uncomfortable, or even painful.
This bloating happens when your gastrointestinal tract contains too much gas or air. Bloating can be mild, or more severe, and may present as:
– A visibly distended or swollen abdomen
– Feeling very full and uncomfortable
– Feeling of tightness in the abdomen
– Excess gas – belching and/or flatulence
– Rumbling or gurgling
There are several causes of bloating, so it’s important to diagnose the cause of your bloating and find out why it’s happening to you.

Prolonged periods of bloating could indicate an underlying health problem, if so you should see your GP.
Possible causes can include:
Irritable bowel syndrome (IBS diagnosis)
Ulcerative colitis, a form of inflammatory bowel disease (IBD), where the inner lining of the large bowel is inflamed and develops ulcers
Crohn’s disease, the other form of IBD, where some parts of your colon are inflamed
Too much bacteria in your small intestine (called small intestinal bacterial overgrowth, or SIBO)
Gastroesophageal reflux disease
Food intolerances, especially lactose or fructose intolerance
Producing too much gas (dysbiosis and fermentation)
Weight gain
Stress or anxiety
Delays in your food and drink moving on from your stomach (called gastroparesis)
Eating too quickly, so that you swallow too much air (called aerophagia)


Feeling bloated is no fun, but once you know what’s going on you can start to manage your symptoms and the underlying causes.
Testing options:
At the Functional Gut Clinic, we can run the following tests to diagnose the causes of bloating:
Gastric emptying test– which measures how quickly food leaves your stomach
Carbohydrate malabsorption breath test– which finds out if you have certain food intolerances (lactose or fructose)
Small intestinal bacterial overgrowth (SIBO) breath test– which finds out if you have an overgrowth of bacteria in your small intestine (called SIBO)
Oesophageal manometry– which measures the function of your oesophagus (food pipe)
24-hour pH impedance monitoring– which looks at whether you have any reflux
Colonic transit study-a non-invasive test which looks at how long it takes for faeces to pass through your bowl

What you eat determines what you weigh. That’s a basic fact everyone understands. But it’s not quite that simple. While there’s a certain logic to “calories in calories out,” how your body processes what you eat is determined by your gut microbiome.
Your gut is home to trillions of bacteria and other microorganisms which are collectively known as the gut microbiome. Increasingly recognised as a pillar of health, your microbiome influences how your body digests food, processes calories, and therefore your weight.
Below, we cover how gut microbes and weight loss may be connected, how this affects obesity, and what you can do to support your gut microbiome during weight loss.
The gut microbiome was first discovered decades ago. However, it was only in recent years that its importance was finally understood.
It refers to the community of bacteria, fungi, viruses, and other microorganisms that live inside your gut. Most of these microbes aren’t harmful. In fact, they’ve been with you from the moment you were born, producing essential nutrients, supporting digestion, and even boosting your mood.
But eating the wrong thing, taking antibiotics, or experiencing prolonged stress can take a toll on your gut microbiome. Get the wrong composition of species, and it can increase your risk of weight gain.
People with obesity often have different gut bacteria inside their guts. Not only that, but they’ve typically got a lot fewer species of bacteria compared to people of moderate weight.
The effects can be pretty startling.
When scientists transferred a collection of microbes from people with obesity to mice, the mice immediately gained weight. The microbes shifted the entire metabolism.
What’s going on? Well, it seems to be down to the specific species. If you’ve got certain groups of bacteria, they can increase your risk of obesity. But there are also beneficial bacteria that can aid weight loss.
One 2018 study examined the ratio between two bacterial groups: Prevotella and Bacteroides. People who had more Prevotella than Bacteroides lost more weight and body fat than those with roughly equal amounts of these bacteria.
Prevotella copri, in particular, was linked to lower insulin levels. Higher insulin is associated with type II diabetes, so keeping levels low can offset one potential risk of obesity.
But how are the bacteria actually influencing your weight? Some bacteria simply extract more calories from the same food, leaving less leftover for you. Signalling is another factor. Certain bacterial compounds influence hunger hormones, fat storage, and inflammation.
One group of compounds are known as short-chain fatty acids (SCFAs). They can help support:
Gut lining health – strengthening the intestinal barrier and reducing inflammation
Appetite regulation – influencing hormones involved in hunger and satiety
Metabolic signalling – helping regulate how the body processes energy and stores fat
Diets rich in fibre from vegetables, legumes, and whole grains help feed beneficial bacteria and promote healthy SCFA production.
An unbalanced gut microbiome isn’t the only cause of weight gain or obesity. So, how do you know if it’s a factor in your weight troubles?
Often, you’ll notice a persistent difficulty losing weight. Maybe you’re following the same diet as a friend (adjusted for body size), but you’re still not losing any weight, or not as much.
You might also notice sugar cravings, as the bacteria influence your hunger signals to get you to eat more. Sometimes, these signs occur alongside digestive symptoms like bloating, constipation, or stomach discomfort.
There’s good news. Fixing your gut microbiome involves a lot of the same habits that will help you lose weight. You don’t need to worry about a dozen different things. Simply focus on:
Fibre-rich foods (vegetables, legumes, whole grains)
Fermented foods (yoghurt, kefir, kimchi, sauerkraut)
Diverse plant-based diet
Reducing ultra-processed foods
Regular sleep and stress management.
Your gut microbiome won’t change overnight. However, if you stick to the recommendations above, beneficial bacteria can gradually increase over the following weeks.
While the advice above will benefit your gut, it’s not specific to you. The only way to understand what’s going on in your gut is to perform a gut microbiome test.
The Functional Gut Clinic offers microbiome testing to determine the microbial diversity and composition of your gut microbiome. We can provide personalised dietary and lifestyle recommendations based on your results to help you restore your gut microbiome and support a healthy weight.
Learn more about our gut microbiome testing to discover what your microbiome is telling you and how to support healthier weight management.
Read the following engaging article: Eosinophilic Oesophagitis (EoE): When Your Symptoms Aren't Just Acid Reflux
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"After stopping my lansoprazole, every time I had a warm drink, I could feel it burn all the way down to my stomach. Thank you to Sam for making me feel at ease." - Manchester Patient

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Burning mid-chest, worse when bending or lying down

Difficulty going to the toilet, unusual stools, often with stomach ache or intestinal cramps, bloating, nausea or appetite loss

A burning pain in your chest, just behind your breastbone.
The pain is often worse after eating...

Bringing food or drink back up, difficulty swallowing, feeling that food or drink is stuck in your throat, horrible taste in your mouth

Dysphagia - difficulty swallowing, feeling that food or drink is stuck in your throat, horrible taste in your mouth

Loose or explosive stools, can’t get to a toilet in time

Cramps; sharp or dull pain, Bloating, Excessive belching, Nausea or vomiting

Stools leak unexpectedly, Can’t get to a toilet in time

Abdominal pain or cramping, bloating, changes in bowel habits and urgency, gas